Neuromuscular Control in Postural Stability: Insights into Myoelectric Activity Involved in Postural Sway During Bipedal Balance Tasks

Examining the dynamic interplay of muscle contributions to postural stability enhances our understanding of the neuromuscular mechanisms underlying balance control. This study examined the similarity in shape (using cross-correlation analysis) between seven individual lower limb electromyographic (EMG) signals and center-of-pressure (COP) displacements (i.e., EMG–COP correlation) in 20 young adults (25.2 ± 4.0 years) performing bipedal balance tasks on both stable and multi-axially unstable surfaces, testing the effects of four factors—leg dominance, surface stability, sway direction, and foot position—on individual EMG–COP correlations. The results revealed significant effects of leg dominance (p = 0.004), surface stability (p ≤ 0.001), and sway direction (p ≤ 0.001) on specific muscles. Notably, balancing on the non-dominant leg resulted in a stronger correlation between tibialis anterior activity and postural sway compared to the dominant leg. On a stable surface, postural sway showed stronger correlations with the rectus femoris, semitendinosus, biceps femoris, gastrocnemius medialis, and soleus muscles than on an unstable surface. Additionally, anteroposterior postural sway exhibited a greater correlation with semitendinosus and tibialis anterior activity compared to mediolateral sway. These findings underscore the importance of specific muscles in maintaining bipedal balance, with implications for improving balance performance across various populations.